El cuidado crítico en el paciente con COVID-19.
Critical care in the patient with COVID-19.
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A comienzos de la pandemia se planteó que la mortalidad se relacionaba de forma inversa con la disponibilidad de recursos sanitarios. Debido a esto se buscó expandir las camas de cuidado intensivo y el número de ventiladores disponibles antes del pico. Si bien tal conducta ha sido cuestionada, está claro que resulta fundamental contar con una herramienta que permita seleccionar a los pacientes que requieren manejo en UCI, con base en una predicción de morbimortalidad. Por tratarse de una neumonía, en la gran mayoría de los casos, los lineamientos del Ministerio de Salud y el consenso de la Asociación Colombiana de Infectología (ACIN) propusieron los criterios de la American Thoracic Society (ATS) del 2007. Así, la presencia de un criterio mayor o tres criterios menores justificarían el ingreso a UCI.
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